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General NPI Number Information
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NPI Number | 1447430863
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Entity Type | Organization
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Legal Business Name | CARDIOVASCULAR ASSOCIATES PC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 01/23/2008
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Provider Practice Location Address
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Address Line | 330 N WABASH AVE STE 310
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City | MARION
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State | IN
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Zip | 46952-2691
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Country | US
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Telephone | 765-662-8180
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Fax | 765-662-8184
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Provider Business Mailing Address
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Address Line | 330 N WABASH AVE STE 310
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City | MARION
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State | IN
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Zip | 46952-2691
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Country | US
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Telephone | 765-662-8180
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Fax | 765-662-8184
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAMID NAWAZ
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Credential | M.D.
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Telephone | 765-662-8180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 01062976A
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License Number State | IN
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